Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $43.28 / $53.59	Facility		$43.28	$43.28	$53.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $51.99 / $65.31	Professional		$43.28	$51.99	$65.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $63.49 / $112.56	Professional		$37.97	$63.49	$112.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $78.52 / $120.82	Professional		$55.03	$78.52	$120.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $55.90 / $83.19	Facility		$42.92	$55.90	$83.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $77.31 / $120.82	Professional		$49.17	$77.31	$120.82
United Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $97.02 / $139.35	Professional		$71.28	$97.02	$139.35